ATI COMMUNITY HEALTH PROCTORED EXAM WITH NGN - COMPREHENSIVE PRACT
EDITION)
Independent educational practice resource; not an official ATI, NCSBN, or NCLEX examination.
Directions: Choose the best answer. NGN case-study items are labeled.
Section 1: Community Health Nursing Theory & Practice - Population Health,
Community Assessment, Ethics (12 questions)
Q1: [NGN Case Study 1-Community assessment, Recognize Cues] A nurse reviews a neighborhood with
rising pediatric asthma visits, heavy truck traffic, substandard housing, and frequent pest
reports. Which cue most directly suggests an environmental trigger?
A. The children’s school grade levels
B. Heavy truck traffic and substandard housing [CORRECT]
C. The number of local grocery coupons
D. The color of neighborhood signs
Correct Answer: B
Rationale: Traffic pollution, pests, and poor housing can worsen asthma; the other details do not
establish exposure.
Q2: [NGN Case Study 1-Community assessment, Analyze Cues] Which additional data would best clarify
the asthma pattern?
A. Emergency visits mapped by residence and time [CORRECT]
B. A list of hospital cafeteria meals
C. The mayor’s travel calendar
D. National fracture statistics
Correct Answer: A
Rationale: Place-and-time mapping can identify clusters and associations; unrelated administrative
data cannot.
Q3: [NGN Case Study 1-Community assessment, Prioritize Hypotheses] Which community diagnosis is
best supported?
A. Deficient recreation related to school grades
B. Risk of fractures related to truck traffic
C. Impaired parenting related to clinic use
D. Risk of poor respiratory health related to environmental exposures [CORRECT]
Correct Answer: D
Rationale: The observed respiratory outcomes and exposure cues support a population-level
respiratory diagnosis.
Q4: [NGN Case Study 1-Community assessment, Take Action] Which initial action best reflects
community partnership?
A. Design the entire program without residents
B. Distribute generic flyers before confirming needs
C. Meet with residents, schools, housing officials, and health agencies to set priorities
[CORRECT]
D. Close the clinic until pollution ends
Correct Answer: C
Rationale: Collaborative priority-setting builds ownership and targets feasible interventions;
unilateral action may miss community priorities.
Q5: Which activity is community-oriented nursing?
A. Changing a dressing for one home-care client
B. Using population data to plan a hypertension initiative for an entire district [CORRECT]
Page 1 of 11
, C. Giving one client a prescribed injection
D. Teaching one family about a new medication
Correct Answer: B
Rationale: Community-oriented practice targets populations; the other activities are
community-based individual care.
Q6: Which source is primary community-assessment data?
A. Resident interviews conducted by the nurse [CORRECT]
B. A published census table
C. A health-department annual report
D. An existing hospital discharge database
Correct Answer: A
Rationale: Newly collected interviews are primary data; existing reports and databases are
secondary sources.
Q7: What is the main purpose of a windshield survey?
A. Diagnose every resident
B. Replace all quantitative data
C. Determine individual medication doses
D. Systematically observe community resources, risks, and physical characteristics [CORRECT]
Correct Answer: D
Rationale: A windshield survey provides structured observational data and complements, rather than
replaces, other assessment methods.
Q8: Which action best demonstrates distributive justice?
A. Provide services only to people who can pay
B. Give all resources to the first neighborhood requesting them
C. Allocate mobile screening resources according to population need [CORRECT]
D. Exclude residents with limited English proficiency
Correct Answer: C
Rationale: Justice supports fair allocation based on need and equitable access.
Q9: A nurse promises to return with test results and does so. Which ethical principle is
demonstrated?
A. Autonomy
B. Fidelity [CORRECT]
C. Nonmaleficence
D. Utility
Correct Answer: B
Rationale: Fidelity means keeping commitments; autonomy concerns choice, and nonmaleficence
concerns avoiding harm.
Q10: [Delegation] Which task may the public health RN delegate to a trained UAP?
A. Record height and weight at a screening event [CORRECT]
B. Interpret an abnormal blood pressure
C. Develop a community nursing diagnosis
D. Teach a newly diagnosed client about insulin
Correct Answer: A
Rationale: A trained UAP may collect routine measurements; interpretation, assessment, and initial
teaching require licensed nursing judgment.
Q11: Which statement best describes population health?
A. Only treatment of hospitalized individuals
B. The financial health of one clinic
C. Care limited to communicable diseases
D. Health outcomes and their distribution within a defined group [CORRECT]
Page 2 of 11
EDITION)
Independent educational practice resource; not an official ATI, NCSBN, or NCLEX examination.
Directions: Choose the best answer. NGN case-study items are labeled.
Section 1: Community Health Nursing Theory & Practice - Population Health,
Community Assessment, Ethics (12 questions)
Q1: [NGN Case Study 1-Community assessment, Recognize Cues] A nurse reviews a neighborhood with
rising pediatric asthma visits, heavy truck traffic, substandard housing, and frequent pest
reports. Which cue most directly suggests an environmental trigger?
A. The children’s school grade levels
B. Heavy truck traffic and substandard housing [CORRECT]
C. The number of local grocery coupons
D. The color of neighborhood signs
Correct Answer: B
Rationale: Traffic pollution, pests, and poor housing can worsen asthma; the other details do not
establish exposure.
Q2: [NGN Case Study 1-Community assessment, Analyze Cues] Which additional data would best clarify
the asthma pattern?
A. Emergency visits mapped by residence and time [CORRECT]
B. A list of hospital cafeteria meals
C. The mayor’s travel calendar
D. National fracture statistics
Correct Answer: A
Rationale: Place-and-time mapping can identify clusters and associations; unrelated administrative
data cannot.
Q3: [NGN Case Study 1-Community assessment, Prioritize Hypotheses] Which community diagnosis is
best supported?
A. Deficient recreation related to school grades
B. Risk of fractures related to truck traffic
C. Impaired parenting related to clinic use
D. Risk of poor respiratory health related to environmental exposures [CORRECT]
Correct Answer: D
Rationale: The observed respiratory outcomes and exposure cues support a population-level
respiratory diagnosis.
Q4: [NGN Case Study 1-Community assessment, Take Action] Which initial action best reflects
community partnership?
A. Design the entire program without residents
B. Distribute generic flyers before confirming needs
C. Meet with residents, schools, housing officials, and health agencies to set priorities
[CORRECT]
D. Close the clinic until pollution ends
Correct Answer: C
Rationale: Collaborative priority-setting builds ownership and targets feasible interventions;
unilateral action may miss community priorities.
Q5: Which activity is community-oriented nursing?
A. Changing a dressing for one home-care client
B. Using population data to plan a hypertension initiative for an entire district [CORRECT]
Page 1 of 11
, C. Giving one client a prescribed injection
D. Teaching one family about a new medication
Correct Answer: B
Rationale: Community-oriented practice targets populations; the other activities are
community-based individual care.
Q6: Which source is primary community-assessment data?
A. Resident interviews conducted by the nurse [CORRECT]
B. A published census table
C. A health-department annual report
D. An existing hospital discharge database
Correct Answer: A
Rationale: Newly collected interviews are primary data; existing reports and databases are
secondary sources.
Q7: What is the main purpose of a windshield survey?
A. Diagnose every resident
B. Replace all quantitative data
C. Determine individual medication doses
D. Systematically observe community resources, risks, and physical characteristics [CORRECT]
Correct Answer: D
Rationale: A windshield survey provides structured observational data and complements, rather than
replaces, other assessment methods.
Q8: Which action best demonstrates distributive justice?
A. Provide services only to people who can pay
B. Give all resources to the first neighborhood requesting them
C. Allocate mobile screening resources according to population need [CORRECT]
D. Exclude residents with limited English proficiency
Correct Answer: C
Rationale: Justice supports fair allocation based on need and equitable access.
Q9: A nurse promises to return with test results and does so. Which ethical principle is
demonstrated?
A. Autonomy
B. Fidelity [CORRECT]
C. Nonmaleficence
D. Utility
Correct Answer: B
Rationale: Fidelity means keeping commitments; autonomy concerns choice, and nonmaleficence
concerns avoiding harm.
Q10: [Delegation] Which task may the public health RN delegate to a trained UAP?
A. Record height and weight at a screening event [CORRECT]
B. Interpret an abnormal blood pressure
C. Develop a community nursing diagnosis
D. Teach a newly diagnosed client about insulin
Correct Answer: A
Rationale: A trained UAP may collect routine measurements; interpretation, assessment, and initial
teaching require licensed nursing judgment.
Q11: Which statement best describes population health?
A. Only treatment of hospitalized individuals
B. The financial health of one clinic
C. Care limited to communicable diseases
D. Health outcomes and their distribution within a defined group [CORRECT]
Page 2 of 11
